Individual provider · Type 1 NPI

Emilee Jo Wallace, RN

Emergency Registered Nurse · Gallipolis, OH

NPI number 1497610422 Active

Practice location

100 Jackson Pike
Gallipolis, OH 45631-1560

Mailing address

4558 Tabner Moore Rd
Apple Grove, WV 25502-8045

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X116178 (WV)

Emergency Registered Nurse: Definition to come...

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About NPI 1497610422

Emilee Jo Wallace, RN's National Provider Identifier is 1497610422, issued on Dec 22, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallipolis, OH. The record was last updated on Dec 22, 2025.